BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACUTRAK CANNULATED DRILL

    MDR report key: 384992 · Received March 25, 2002

    Report

    Report Number
    3025141-2000-00002
    Event Type
    Injury
    Date Received
    March 25, 2002
    Date of Event
    December 14, 2000
    Report Date
    March 23, 2002
    Manufacturer
    ACUMED, INC.
    Product Code
    HTW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A SURGERY TO TREAT AN OLECRANON FRACTURE, THE END OF THE CANNULATED DRILL TIP SHEARED OFF DURING THE DRILLING OF A THIRD ACTRAK SCREW. THE DRILL TIP WAS LEFT IN THE PATIENT AND THE SURGEON INTENDS TO REMOVE IT WHEN HE REMOVES THE SCREWS AFTER THE UNION OF THE FRACTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACUTRAK CANNULATED DRILL SURGICAL INSTRUMENT HTW ACUMED, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 15 YR Other